Form ID

Publication date

Location of premises

Certificate

Contract No. 2017-0100 Drainage, Granular Base and Hot Mix Paving in Brudenell, Lyndoch and Raglan on Letterkenny Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Township of Brudenell, Lyndoch and Raglan
Address of Owner
42 Burnt Ridge Road, P.O. Box 40, Palmer Rapids, ON K0J 2E0
Name of Contractor
Smiths Construction Company A Division of Miller Group Inc.
Address of Contractor
276 Madawaska Boulevard, Arnprior, ON K7S 3H4
Name of Certifier
Jason Ward, P. Eng. Project Manager
Address of Certifier
Same as Owner

Office to which claim for lien must be given to preserve lien

Township of Brudenell, Lyndoch and Raglan, 42 Burnt Ridge Road, P.O. Box 40, Palmer Rapids, Ontario K0J 2E0